SSA-16 MCS Signature Proxy - In-Office Interview

MCS Screens RIB, SPOU, DIB
MCS is the Social Security Administration’s (SSA) claim system for taking and processing title II and XVIII
applications. It mirrors the paper application formats using an electronic collection method. MCS screens
include data fields for technicians to complete with application responses and documentation of evidence. Its
functionality includes propagation of data from SSA records and the ability to print and store an application
summary, receipt and reporting responsibilities for Retirement, Wife’s or Husband’s Insurance Benefits, and
Disability Insurance Benefits.
This screen package includes the multiple MCS screens technicians may complete when taking an application
for Retirement, Disability and Wife’s or Husband’s Insurance Benefits.

Menu Screen

D

R

AF
T

To start a Retirement or Disability claim in MCS, technicians input the Number Holder’s (NH) Social Security
Number (SSN) and select “1=Establish” and function “3=New Claim” and the enter key. When technicians take
a claim for spouse’s benefits, they input the worker’s SSN as the NH SSN and the SSN of the individual who is
filing for spouse’s benefits as the CL (claimant) SSN.

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MCS Screens RIB, SPOU, DIB

RSDHI Claims Application (APPL) Screen
The APPL Screen establishes the claim type and collects the application questions that identify the number
holder (NH), claimant (CL) and applicant when different from the claimant. Technicians can select up to two
claim types (retirement and disability) when filing for benefits that are based on their own earnings record.
When filing for spouse’s benefits, the technicians select #4 – AUXSPO.

R

Technicians
select 1 or 2
when taking
a claim for
spouse’s
benefits.

AF
T

The name, sex and
birthdate propagate
into the claim from the
Numident record.

IDEN Screen

D

The IDEN screen records identifying information about a claimant

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MCS Screens RIB, SPOU, DIB
Citizenship CLCZ Screen

The CLCZ screen collects the country of citizenship and documents evidence of U.S. citizenship or the
need to document lawful presence

AF
T

For United States
citizens, technicians
complete these
fields to document
the claim.

R

Additional Benefits (ADDB) Screen

D

This ADDB screen collects information that may affect the claimant’s benefit payment

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MCS Screens RIB, SPOU, DIB
Number Holder (NH) Marriage (NMAR) Screen

AF
T

The NH Marriage (NMAR) screen is used to record information about a NH's marriages.

Beneficiary Marriage (BMAR) Screen

D

R

The BMAR Screen comes into the claims path when filing for spouse’s benefits. The marriage data
collected documents the factors of entitlement for spouse’s benefits. Information collected on this screen
will propagate to future Title II, XVIII or XVI claims that require documentation of a claimant’s
marriage.

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MCS Screens RIB, SPOU, DIB
Dependent Children of NH (DEPC) Screen

AF
T

The DEPC screen collects the names of the children that may be eligible for benefits on the NH’s
earnings record. This screen comes into the claims path when the technician enters “Y” for Dependent
Children on the IDEN screen (pg. 2).

R

Work History (WORK) Screen

D

The WORK screen records information about a NH's employment or self-employment. It comes into the
claims path for a retirement and disability claim when the technician records “Y” to the Work or
Earnings in YYYY question on IDEN screen (pg. 2).

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MCS Screens RIB, SPOU, DIB
Earnings (EARN) Screen

AF
T

Technicians complete the EARN screen with the NH's current and prior year’s wages when they are not
on the NH’s earnings record and the wages or self-employment are needed for insured status coverage.

Work Deductions/Election Option (DEME)

D

R

The DEME screen comes into the retirement and spouse’s claim’s path. MCS uses the data provided by
the claimant to determine deductions under the Annual Earnings Test. The bottom portion is where the
technician records the month the claimant wants to begin receiving benefits.

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MCS Screens RIB, SPO, DIB
Claimant Mailing Address (CADR)

AF
T

The CADR screen collects contact and payment information.

R

Client Address (CLAD) Screen

D

The CLAD screen collects the principal dwelling residence addresses that may or may not be the same
as the mailing address.

MCS Screens RIB, SPO, DIB
Lawful Presence (CLLP) Screen

CLLP screen comes into the claims path when technicians code “IS LAWFUL PRESENCE DATA
NEEDED” as “Y” on the CLCZ screen.

R

AF
T

Documentation of
evidence questions
for the technician.

Health Insurance (HIHI) Screen

D

The HIHI screen comes into the retirement and spouse’s claim path when the claimant is age 64 and 8
months. The screen collects the claimant’s Supplemental Medical Insurance (SMI) enrollment decisions
as well as information that supports enrollment periods and payment of premiums.

MCS Screens RIB, SPO, DIB
Remarks (RMKS) Screen

D

R

AF
T

The RMKS screen is the last page of the claim’s path. It collects information and/or explanations an
applicant may provide when completing the application.